Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.

More about Dr. Dilraj Gandhi

Dr. Dilraj Gandhi is a trusted Radiologist in Krishna Nagar, Delhi. He has been a practicing Radiologist for 30 years. He studied and completed MBBS, MD - Radio Diagnosis. He is currently practising at Dr. Gandhi's Color Scan Centre in Krishna Nagar, Delhi. Book an appointment online with Dr. Dilraj Gandhi on Lybrate.com.

Lybrate.com has top trusted Radiologists from across India. You will find Radiologists with more than 29 years of experience on Lybrate.com. You can find Radiologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Q1. What exactly is Laparoscopy?Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.Q5. Will there be much pain or discomfort after Laparoscopic Surgery?There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.Q6. When can I be discharged from hospital?Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

(A) Sleep on a hard bed with soft bedding on it.
(B) Use no pillow under the head.
(C) Kindly take
BioD3 Max 1 tab dailyx10
Paracetamol 250mg OD & SOS x5days (D) Do back(spine)/shoulder/knee exercises
(E)Make sure you are not allergic to any of the medicines you are going to take
(F) Do not ignore it.
It could be beginning of a serious problem.
(G) If no relief in 4_5 days,then contact me again.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
For me to answer your question, I need some information from your side: - a detailed neurological examination including assessment of motor, sensory ex and analysis of deep tendon reflexes of lower limbs
- dynamic x rays of ls spine
- mri ls spine to correlate clinical findings with radiology. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Hello,
Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them .
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Hi. You should avoid forward bending activities, especially while lifting weights. Learn spinal and core strengthening exercises from a physiotherapist and do them regularly. You should also learn about proper posture and follow it during daily routine activities.

Sleep on a hard bed with soft bedding on it.
Use no pillow under the head.
Kindly take biod3 max 1 tab dailyx10
paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises
make sure you are not allergic to any of the medicines you are going to take
do not ignore it.
It may have to be further investigated.
It could be beginning of a serious problem.
If no relief in 4_5 days, then contact me again.
Contact your family doctor or nearest hospital for emergency help.

Madam lybrate-user you have sever deficiency of these minrals and vitakins with L4- 5 bulge
in my openion you should immediately consult local Orthopedic surgeon and got your treatment according to his advice. At this age this short of deficiency can lead to further complication.

Kindly show me a photograph of the affected part.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful
Do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Requires detailed examination and investigation.
Preliminary investigations suggested:
hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d
urine r/e
x-ray of the affected part.
Anyway it may be tried
sleep on a hard bed with soft bedding on it.
Spring beds, folding beds or thick mattress are harmful
use no pillow under the head.
Do hot fomantation
paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it.
Let it not become beginning of a bigger problem.
Make sure that patient is not allergic to any of the medicines that he/she is going to take.
If it does not give relief in 4-5days, inform.

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

Complicated delivery during pregnancy Weak pelvic muscle Loss of tissue after menopause and loss of common estrogen Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts Being overweight Obesity causing extra strain on the muscles Real surgery in the pelvic zone Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

Feeling of sitting on a ball Abnormal vaginal bleeding Increase in discharge Problems while performing sexual intercourse Seeing the uterus coming out of the vagina A pulling or full feeling in the pelvis Constipation Bladder infections

Nonsurgical medications include:

Losing weight and getting in shape to take stress off of pelvic structures Maintaining a distance from truly difficult work Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk. Taking estrogen treatment especially during menopause Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.

Mri of ls spine showing narrow l4/5 does not necessasarily mean operation. Most of them can be managed without operation.
This is quite a common condition.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it.
Use no pillow under the head.
Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days you do back(spine) exercises
contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.

Surgery should be avoided on vertebral column and spinal cord. It's better to get full panchakarma at good ayurveda hospital near you. Yoga postures, deep breathing will also help. Ayurvedic medicine once suit you, will be immensely beneficial.

24 years old with slipped cervical disc. Depends upon the extent of slip and your symptoms
if you are experiencing neck pain and upper limb pain then you should not do activities involving sudden, jerking movements of neck. Medicines and neck muscle strengthening exercises can very well take care of this problem further intervention is needed only of disc is causing nerve or cord compression.

(a) sleep on a hard bed with soft bedding on it.
(b) use no pillow under the head.
(c) kindly take biod3 max 1 tab dailyx10
paracetamol 250mg od & sos x5days (d) do back (spine)/shoulder/knee exercises
(e) make sure you are not allergic to any of the medicines you are going to take
(f) do not ignore it.
It could be beginning of a serious problem.
(g) if no relief in 4_5 days, then contact me again.

First take rest for few days,avoid bending forward,lifting,sitting unsupported for long time,use a lumbar support for sitting or standing,take physiotherapy for pain relief and gradually start back exercises.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
It is good that you have actually mentioned mri report of your mother which shows degenerative changes in spine with degenerative discs at multiple levels and ligamentum hypertrophy.
But since we have to treat the patient and not mri, please elaborate her problem as to a detailed discussion of back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs.
Please also tell me about any associated symptoms like fever, weight loss etc.
What medications she generally takes and what has been her treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.